Introduction
In all countries people experience different social circumstances that result in avoidable differences in health In New Zealand, Māori, Pacific peoples, and those with lower socioeconomic status experience higher levels of chronic illness, which is the leading cause of mortality, morbidity and inequitable health outcomes Whilst the health system can enable a fairer distribution of good health, limited national data is available to measure health equity Therefore, we sought to find out whether health services in New Zealand were equitable by measuring the level of development of components of chronic care management systems across district health boards Variation in provision by geography, condition or ethnicity can be interpreted as inequitable

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Health equity in the New Zealand health care system: a national survey

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What Are the Elements of Work Readiness of New Graduate Nurses in the New Zealand Context? A Professional Consensus

The aim of the research was to examine nurses??? accounts of how they apply the principles of the Treaty of Waitangi and cultural safety in their practice. In addition to this the research has sought to identify if there is a different understanding of cultural practice between nurses from different backgrounds, and understand how nurses assess that their practice is culturally safe, as determined by the patient. A qualitative approach was employed for this study and data were collected from 22 registered nurses through semi-structured interviews using open ended questions. Participants were assigned to four groups 1) European nurses trained before 1990 2) European nurses trained after 1990, 3) Maori nurses and 4) International Qualified Nurses. Inductive techniques were used to analyse the data collected. Four main themes and eight sub-themes emerged from the data in relation to caring for Maori patients and patients from other cultural backgrounds. Participants through their accounts demonstrated their application of the principles of the Treaty of Waitangi and kawa whakaruruhau when caring for Maori patients and whanau, and cultural safety when caring for patients from culturally and linguistically diverse (CALD) populations. Some differences in practice between the participant groups emerged. From their accounts of observing colleagues in practice, participants highlighted that cultural safety was inconsistently applied in practice and marginalization of Maori still occurs within health care environments. While the results of this research affirm cultural safety as an appropriate framework to enable nurses to meet the diverse needs of patients they care for, they also indicate that further review of the cultural safety model is needed to more effectively address the needs of Maori patients and patients from CALD backgrounds. It is also recommended that the cultural context of practice is consistently integrated into post-registration education in clinical practice and post graduate education.

Articulating cultural practice within a New Zealand nursing context

i DEDICATION iii ACKNOWLEDGEMENTS iv TABLE OF CONTENTS v LIST OF TABLES x LIST OF FIGURES xi CHAPTER ONE: INTRODUCTION 1 1.1 AIM OF THE STUDY 2 1.2 STRUCTURE OF THE THESIS 2 CHAPTER TWO: BACKGROUND 4 2.

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The Self-Rated and Actual Pharmacology Knowledge of Intensive Care Nurses in New Zealand

Large-span M-shaped greenhouse with superior wind resistance and ventilation performance

The ATCO Licensing Review Task Force (ALRTF) set up by the EATM Human Resources Team (HRT) developed this document as guidance for ECAC Member States introducing a competence assessment scheme. The first edition of the document outlined the process for developing a competence assessment scheme from the selection of competence assessors, to the conduct of competence assessments to record keeping. This 2 nd edition of Guidelines for Competence Assessment provides a more comprehensive analysis of the subject by offering guidelines for the development of performance objectives and additionally includes guidance for the competence assessment of On-the-Job-Training Instructors (OJTIs) and Competence Assessors.

Brian Considine

Papers

Guidelines for Competence Assessment

A numerical analysis of particulate matter control technology integrated with HVAC system inlet design and implications on energy consumption

The impact of street level particulate emissions on the energy performance of roof level building ventilation systems